Anatomy Note

Anencephaly is a severe congenital birth defect characterized by the absence of major portions of the brain, skull, and scalp. The image shows an anterosuperior view of an anencephalic fetus, demonstrating the distinctive facial features and cranial abnormalities that define this condition. This devastating neural tube defect occurs during early embryonic development when the neural tube fails to close properly at the cranial end, resulting in the absence of significant portions of the brain, particularly the cerebrum and cerebellum. Despite these profound structural abnormalities, the brainstem and spinal cord often remain intact, allowing for basic physiological functions in affected fetuses.

Step back in time with this rare medical photograph of a 16-year-old female patient diagnosed with hydrocephalus and occipital encephalocele from 1917. This black-and-white image provides a historical perspective on the treatment and presentation of these neurological conditions, offering valuable lessons for medical students and professionals today. Explore the clinical significance, historical context, and modern advancements related to these conditions in this detailed analysis.

The image depicts a neonate with a significant occipital encephalocele, visible as a large sac-like protrusion from the back of the infant's head. Encephalocele is a severe congenital neural tube defect characterized by herniation of brain tissue and meninges through a defect in the skull. This particular case shows a substantial occipital encephalocele with intact skin coverage and visible vascularity. The condition requires prompt multidisciplinary evaluation and neurosurgical intervention to minimize complications and optimize developmental outcomes. Early diagnosis, careful surgical planning, and comprehensive follow-up care are essential components in the management of this challenging congenital anomaly.

The image depicts a two-year-old child with a parietal encephalocele, visible as a prominent protrusion from the superior aspect of the skull. Encephalocele is a rare congenital neural tube defect characterized by the herniation of brain tissue and meninges through a defect in the cranium. This case is notable as most encephaloceles are surgically addressed in early infancy, but this child appears to have reached two years of age with the condition still present. The sac appears well-vascularized with a reddish, taut appearance, suggesting active blood supply to the herniated tissues. This condition requires comprehensive neurosurgical evaluation and intervention to prevent further complications and optimize developmental outcomes.

The image depicts a neonate with a massive occipital encephalocele, presenting as a large protrusion from the back of the head. Encephalocele is a severe congenital neural tube defect characterized by the herniation of brain tissue, meninges, and cerebrospinal fluid through a defect in the cranium. This particular case demonstrates an extremely large occipital encephalocele, which presents significant challenges for surgical management and has important implications for neurological outcomes. The condition requires immediate attention from a multidisciplinary team including neurosurgeons, neonatologists, and plastic surgeons to optimize outcomes and minimize complications associated with this rare but serious congenital anomaly.